COMMONWEALTH OF KENTUCKY TREY GRAYSON SECRETARY OF STATE CANCELLATION OF REGISTRATION OF FOREIGN BUSINESS TRUST Pursuant to the provisions of KRS Chapter 386 the undersigned hereby cancels the registration on behalf of the business trust named below and for that purpose submits the following statements: 1. The name of the business trust is ____________________________________________________________________________________. 2. The state or country of establishment is ____________________________________________________. 3. The date the business trust registered to do business in Kentucky is ______________________________. 4. The business trust is not transacting business in Kentucky and hereby cancels its registration. 5. The cancellation of registration by the foreign business trust will not terminate the authority of the Secretary of State to accept service of process on the foreign business trust with respect to causes of action arising out of the transaction of business in Kentucky. _____________________________________________ Signature _____________________________________________ Type or Print Name & Title Date: ____________________________, 20_________ FBT-103 (8/98) (See attached page for instructions) American LegalNet, Inc. www.USCourtForms.com Cancellation of Registration of Foreign Business Trust Filing Instructions NAME OF BUSINESS TRUST Use the exact name of the business trust as registered with the Secretary of State. STATE OF FORMATION The state of establishment is the state or country under whose law the business trust is formed. REGISTRATION DATE State the date that the business trust registered in Kentucky. WHO MAY SIGN A trustee must sign the cancellation of registration of foreign business trust. NUMBER OF COPIES Submit the original signed application and two exact or conformed copies. (May be photocopies.) Two file-stamped copies will be returned to the business trust as evidence of filing. One file-stamped copy must then be filed with the county clerk of the county in which the corporation’s registered office is situated. NOTE: Your file-stamped copy of shall serve as the Cancellation of Registration of Foreign Business Trust. FILING FEES The filing fee is $15.00. Your check should be made payable to the "Kentucky State Treasurer". MAILING ADDRESS Trey Grayson Secretary of State P O Box 718 Frankfort, KY 40602-0718 OFFICE LOCATION Room 154, Capitol Building 700 Capital Avenue Frankfort, KY 40601 WEB SITE ADDRESS Our home page address is: //www.sos.state.ky.us Click on “On Line Business Database” for information on status of all business entities in Kentucky. Forms are also available on our web site. For information, please call (502) 564-2848, press 2, and then press 5 or try our web site. American LegalNet, Inc. www.USCourtForms.com